Becoming Mother

A book and a blog for first-time mothers

Category: End of life

Death

August 13, 2022, 4:00 a.m.

I’m running.

My purse knocks against my thighs as I sprint toward the bright red ER sign of the hospital.

It’s okay to go, Mom. It’s okay to go.

My mind flashes to a scene in Contact, where Jodie Foster’s character, Ellie Arroway, is on the verge of being launched into space in an extraterrestrial aircraft. When the spaceship begins shaking as it ignites, through her fear, Ellie continues to utter, I’m okay to go.

Even though she doesn’t know what awaits her on the other side, she continues to say these words.

It’s okay to go, Mom. You don’t have to wait for me, is my prayer.

But I’m still running.

I’m running because none of her children are there.

Because my father died alone, without anyone who loved him to hold his hand.

I’m running because my heart is screaming for just one more moment to be with her before she escapes to places where I cannot follow.

Just one more moment.

Just one more moment.

I’m running because Love compels me.

And I will expend every last ounce of my energy to help someone I love.

The ER sign grows larger in my sight and I am breathless already because I’m so anemic. But I keep running, my heart pounding in my chest, fighting the lightheadedness, my lungs seizing.

And part of me wonders if my heart has known for years that this is how it would all unfold.

If my body was simply following the rhythms of my heart.

And now those early morning runs, my feet pounding the sidewalk at 4:00 a.m., have prepared me for this very moment.

To run to my mother at this very hour, when she needs me the most.

Perhaps my heart has felt this moment approaching for years.

***

(It’s dark.)

I haven’t really slept in days.

(It always seems like it’s dark when these things happen.)

My dreams aren’t dreams right now. They are instant replays of the last three days, holding my mother’s hand, watching her heart rate tick up, up, up as her face loses its color, its tone. Her eyes struggling to remain open.

(Labor and Birth.)

The image had been replaying in my mind for hours and hours.

It’s both too early. And too late.

(Dying and Death.)

***

I burst through the doors to the ER and slow to purposeful walk until I reach a set of double doors. I jiggle them. Locked.

A voice comes on over the intercom.

“Can I help you?”

“I need to get in. My mother is dying.”

A pause.

“Do you need help getting there?”

“No,” I say. Then I repeat the number of the hospital room.

The door unlocks.

And I’m hustling now to the end of the hallway toward the first set of elevators. I need to go to the seventh floor. The buttons read 1, 2, and 3. I press 3, going as high as I can go. I ask for more directions, someone at a nurse’s station, a security guard, a custodian.

Every person stops what they are doing and guides me.

Down this hall, to the left.

What floor? Down that hall, take a second left. You’ll find the elevators to the seventh floor.

What room? Those rooms are in the west wing. Hang a right at the Exit sign.

I’m hurrying down the hallway when I see Doug come out of the room, flagging me down. He hugs me tightly.

“She stabilized again,” he says.

I gaze into the room and see that my mother’s bed has been lowered nearly to the floor. Warren is seated on her left, holding her left hand, the softer, unbroken one.

This room at the top of the hospital is dim, barely lit at all. The brightness and bustle of yesterday’s ICU room proclaimed plans and interventions. Real hospital work. But this room lacks any of that. Instead, it has been emptied, drained of all the light and equipment and interruptions. I wade into its stillness, as if it were a pond, the water barely rippling around my movements as I press forward.

She breathes heavily through her mouth. Says nothing.

There aren’t as many tubes and wires connected to her anymore. Just enough to monitor her heart and oxygen. An IV port for medication. Warren tenderly holds her arm where her last IV was threaded by Maria, an excellent nurse on the fourth floor who took the time to warm my mother’s arm with compresses to thread the IV on the first try into her tiny veins. The tape over the IV still bears the nurse’s initials and the date, MR, 8/11.

The monitor shows her vitals in bright green numbers and letters.

“Her heart rate is 155?” I ask Doug.

He nods.

155 is my heart rate when I’ve been running for 30 minutes.

“She’s been holding at that for hours. Until just before I called you. Her vitals started dropping, but she rebounded.”

He pauses and his voice breaks.

“I think she’s waiting for you.”

I swallow.

I look at her chest rising and falling rapidly, how she is still fighting, even here at this late hour.

We could be here for hours, waiting for her body to surrender.

But I am resolved.

I will bear this moment for her. I will be here for her, no matter how long it takes. No matter how hard this gets.

“Mom, it’s Sharon,” I say. “I’m here.”

She breathes heavily, the cool washcloth still folded over her brow. Her eyes are closed.

I have no plan for this moment. I wasn’t committed to being in the room with her when she passed. I’ve allowed myself to accept whatever fate would have for the end of my mother’s life.

Whatever was bound to happen would unfold just as it should be. And it did not need to involve me.

But here I am.

In this room.

And I know that Death is here.

I feel it thick and still in the air around me. It doesn’t spin around us, like a vortex pulling my mother into some other dimension. It drifts and floats, like dust in the air when the light shines through a window. Only there’s nothing to see. You can only feel it, seeping like thick syrup, settling heavily into your ears, your mouth, your nose. So heavy is Death in this room that simply uttering words takes a concentrated effort, not to mention anything meaningful or heartfelt.

I open my mouth to speak and, at first, I choke, the sob caught in my throat.

I push it down and remember.

I will bear it for her.

“I’m going to play some music for you, okay, Mom?” I say calmly, searching for the live version of Both Sides Now by Joni Mitchell, just recently performed at the Newport Folk Festival less than a month ago. “I’ll start with the one that you said you loved last night. Remember that? I played it for you and you said, ‘I love it.’ It was a little hard to hear you, but I know you said it. Here it is.”

I let the song play without interruption and we all listen to Joni sing to my mother with her haunting, soulful voice. I hold my mother’s right hand, rubbing her knuckles, her fingers. I say nothing.

But now they only block the sun
They rain and they snow on everyone
So many things I would have done
But clouds got in my way

I’ve looked at clouds from both sides now
From up and down and still somehow
It’s cloud illusions I recall
I really don’t know clouds at all

“Both Sides Now” by Joni Mitchell

More tears fall and I wipe them with the back of my hand.

I can tell how loved she is, the ICU nurse on the second floor, Regina, had said as she administered morphine the night before, into the IV that Maria had placed. Two amazing human beings who treated my mother with such compassion.

So many people here with her. You’d be surprised how many people leave this world alone in these rooms.

Have more heart-breaking words ever been said?

The song finishes and soon we are listening to troubles melting like lemon drops, away above the chimney tops, rainbows stretching off into the distance, leading my mother to an unknown land.

I want that so much for her.

Even as my heart cries out for her to stay.

I want for her to wander into a land of rest and peace, where her memories of broken hips and legs and arms and necks, of cancer, of diabetes, of untreatable, chronic pain… Where all these memories become nothing but distant moments in time through which she has persevered. Where she has no need for morphine or demerol or toradol or fentanyl or hydrocodone or any of the other medications that only cut the pain in half.

Tears and more tears. I pull her hand to my wet cheek. Just two days ago, when she could still utter words, I asked her if she was in any pain. She fought to simply whisper the words, “They can never make it pain-free.”

I wish I could have born some of this pain for her.

But I know her better.

She would never have allowed that.

Just as I would never allow my children to bear my pain.

The song finishes again and I look over my shoulder at the heart monitor.

156. 154. 155.

The fog of Death that surrounds us is growing. Why is it getting heavier?

Doug is seated behind me, his head rested against my mid-back, as if literally supporting me so I don’t fall over. Every now and then, I feel him turn to look at the monitors. Warren is gripping my mother’s hand, sometimes pressing it to his face, sometimes lowering to the bed and bending forward over it.

It’s so hard to remain upright. I’m not sure how I could explain to anyone else why, in this moment, simply sitting up and speaking takes unimaginable strength.

But it does.

How many moments has my mother faced that were as heavy as this? What would she do?

And then I know what to play.

The soft notes of the song begin and I’m transported back to those final minutes, laboring with Henry, this song soothing my ears while my screams filled the air and my hips lit on fire. Those last moments just before I hemorrhaged and nearly bled to death on the bed, only minutes after I finally pushed Henry free from me.

“I played this song when I was in labor with Henry,” I say. I pray that she can understand. That she feels my intention. Because I cannot find my words to articulate it in this moment.

What I want to express is that I’ve been here before, in this most sacred of spaces. More sacred than any cathedral or altar. I’ve been here before–But never on this side.

There is a stillness in the air when Life enters this world that I cannot explain to anyone who has not been present for it.

Now, I know that there is also an unexplainable stillness when Life leaves this world.

We all want to bear witness to the beginning of Life. We believe that it is good and holy and pure.

But who wants to bear witness to the end of Life? Even though it is just as sacred?

I will bear it for her, I tell myself.

“Mom,” I hold my voice steady. “I want to tell you that it’s okay to go. You don’t have to stay here for us. We’re all going to be okay.”

I pause and consider what to say next. Doug and Warren are both bent forward, their heads bowed, reverently as I speak, my head lifted, my back straight.

Now, I understand. Why Death is so thick, so heavy.

This room is not empty.

It’s Full.

It’s overflowing with everyone waiting for her.

My father. My mother’s mother. My mother’s father. And on and on. The generations have poured into this room, surrounding her and holding her, just as They held me when I cried out for help in laboring with Henry.

They have returned, these People of my Blood.

My heart almost cannot stand it.

I know what to say now. I close my eyes and I speak without any hesitation.

“And Mom…everyone is here with you. It’s not just me and Warren and Doug. Everyone is here. Anna is here. Nate and Lisa are here. Holly and Corey here. Dominic is here. Felicity and Henry are here.”

The words are spilling forth from me, as if she’s relinquished her sword to me and allowing me to fight this last battle for her.

So I will not stop.

I will do this for her.

I will help her over to the Other Side.

I keep listing all our family, as many as I can remember, all her brothers and sisters, their spouses, their children, her cousins, her friends. My shoulders hurt now, physically ache, simply from the action of sitting upright. I can almost feel my mother transferring her burdens, her cares, her wishes, her regrets, her Love, all to my own shoulders.

Perhaps that’s what Death really is.

A great transfer of all the emotions and cares that one person has carried to those they leave behind.

I will bear it for her.

The hospital door opens, but I don’t look at who it is. Words are still pouring out of my mouth, names, reassurances that we’re going to be okay.

“It’s okay to go, Mom. We will all be okay. You can go. Dad is waiting. Your mom is waiting. Your dad is waiting.”

“It’s okay to go, Mom.”

“It’s okay to go.”

I repeat this over and over, my last reassurance to my mother.

That if she would be courageous enough to press on toward the unknown, I would also be courageous and press on here in her place.

I choose to carry this pain of losing her. For the rest of my life.

Because it will free her.

“You gotta go, Sweetie,” Warren says, his voice as broken as his heart. He clutches her hand to his lips and kisses it, his tears freely falling. “I’ll see you there.”

“Mom,” my voice shakes. “There’s not a single person who loves you who can’t be here for you right now. We are all here and we love you so much.”

Doug taps me, but I keep going.

“But we’re going to be okay, Mom. I promise you. It’s okay to go, Mom. It’s okay to go.”

I say it over and over again.

Doug taps me again, but I keep going.

“And the last thing I’ll say, Mom, before you go…” I take a breath. “I just want to thank you for all the I Love You notes that you’d slip into my sandwiches.”

Warren reaches across the bed, over my mother’s body, and grasps my hand.

“She’s gone, Sharon.”

***

It’s true what they say about how a person changes in that first minute after death. In that first minute after death, I surrender to the wave of grief crashing over me and weep over my mother’s arm and hand until I feel her go cold.

But that coldness is all it takes for me to know wholly and thoroughly that the thing that made my mother who she was–a spirit, a soul, an essence–was not her body. She was not just skin and organs and fluids. She was so much more than this body that is now left, apart from her.

I’m the first to stand up.

It’s surprisingly easy to do.

To get to my feet and walk out of this room, knowing that I’m stepping into the shoes that my mother is leaving behind. She would be the one to say the hardest words to the people who need to know.

I feel it already, the passing on of matriarchy.

I will be the Keeper of Family Memory from now on. The one to memorialize what we’ve lost. The one to keep her memory alive by baking her recipes. The one to be a mother to all of us left behind.

And it starts now. With this walk down the hallway, where I will say the hardest words to say in this moment. I will say it.

At the nurse’s station, a young woman is eating what looks like her lunch, a large bowl of noodles, something that requires her to anchor her head over the bowl to not make a mess. 4:30 a.m. I suppose it is lunch for the night nurses.

She sees me and puts down her spoon.

I point to the room behind me.

“She just passed.”

The nurse’s face goes solemn.

“I’ll let the doctor know right away.”

I shake my head.

“There’s no rush.”

***

Dawn is breaking by the time I arrive back at the hotel.

The sunrise, Saturday, August 13th, Indianapolis, IN

I meet my sister in the lobby of the hotel. She is sitting on a bench, tears already running down her red cheeks. I lean down, hold her by the back of her head, and kiss her forehead. She stands to hug me.

Then, I tell her everything, as much as I have the words for. There is too much that I don’t have words for yet, that I don’t fully understand yet, that I will need time to make sense of, that I will need to find the language for. But I say as much as I can and promise to myself that someday I’ll sit down and commit the sacredness of this morning to human memory, that it may never be lost.

But in this moment, what I say over and over again is this:

“I told her we were all there. And we were. We were.”

A Eulogy for My Mother, Cecilia Tjaden-Rush

When I was 25, I asked Mom if she would teach me how to decorate a cake. She said, “Well, sure.” She showed me how to pile the icing on top and level it out, being careful not to pull crumbs up from the side. I made a lot of mistakes. The icing was too thin in some places. Chunks of cake came loose and  polluted the icing. I pointed to a hole that I had somehow made in the cake. She looked at it and said this:

“Oh, that’s just a good place to put a flower.”

She took a tiny, flat metal flower nail and spun it in her fingers as her hands moved swiftly and without any hesitation, creating a flawless rose. She placed it on top of the hole that I had made.

I cannot think of a better metaphor for Mom’s life. A master of turning the holes into something beautiful.

I want to tell you about who my mom was.

Her name was Cecilia. Born May 9, 1954 in Spencer, Iowa to Cyril and Virginia Bundy. She was the second oldest child, the oldest daughter of seven children. She spent her childhood on family farms in Iowa and Minnesota. When she was in high school, she moved to “the Cities,” a.k.a. Minneapolis/ St. Paul, Minnesota. She attended a Christian university, University of Northwestern, for two years. She met my father, Leland Tjaden in August 1974 at Cross of Glory Baptist Church. They were married here, in the same place that I’m standing right now, on September 6, 1975. From 1977-1984, they had four children, Phillip–who has since become Anna–Nate, Sharon, and  Holly. In 1985, they moved to Dayton, Ohio for my father’s job with Supervalu, a grocery store chain in the 1980s. In 1986, my parents adopted Cecilia’s sister’s child, DeAnna–who has since become Dominic– and they raised him as their own. Yes, two of my mother’s children are transgender. And she recognized and loved them as beautiful creations of God. 

In the summer of 1987, my mother received a phone call while she was decorating cakes for other people’s celebrations–her house was on fire. We lost everything. We were homeless. This event changed our lives. It taught me that the worst tragedies in our lives are almost always the times when we see humanity shine. I witnessed and felt the care of others so many times in this period of our lives. Our church sheltered and fed us until we were back on our feet.

Our family often lived paycheck to paycheck. Our furniture came from Rent-a-Center and we were frequent users of layaway. But we always had enough. We may not have had what our friends had, but we never went without what we needed. My mom could feed a family of 7 on $50 a week in the 1990s. Again, it wasn’t necessarily what we wanted to eat. But we never went hungry. 

In 1997, doctors found a slow-growing cancer in my mom’s small intestine. It was called a carcinoid tumor, a cancer that circulates in the blood and disrupts the endocrine system. My father’s response to the news was devastation and sadness. My mother’s response was level-headedness and optimism. This was just a thing that was true about her now and she would do what she needed to do to treat it. But beyond that, it wasn’t going to rob her of her joy and positivity. She believed deeply that God had plans for her and that those plans were ultimately beneficial to all those she loved–even if those plans included her death at an early age.

She kept that same spirit for the next 24 years. 

I want to tell you some things that my mother loved.

Her Myer-Briggs personality type was ISFJ, like me and my dad. “The Protector” personality. 

She loved musicals. The Sound of Music, Oklahoma, Carousel. Anything Rogers and Hammerstein. She could watch Christmas movies anytime of year.  It’s a Wonderful Life. Literally all of the Hallmark Christmas movies ever made. And Lifetime movies. For music, she loved the Carpenters, Anne Murray, Josh Groban. Almost any Christmas song you can think of–she loved it. 

But then there was her other side that loved action movies like Taken, Westerns, suspense, thrillers, and as Warren calls them, “men-bashing” movies, where the husband is the main villain. There was a period of time when Mom loved a TV series called Snapped, which was about wives who completely lost it on their husbands and ruined their cars or poisoned them or something like that. 

She and Warren enjoyed something they called “Chicago Night,” with TV shows about Chicago PD or Chicago hospitals. Things she could watch over and over included Law and Order: SVU, Heartland, Walker, Texas Ranger, and Little House on the Prairie.  

She was patient. She loved jigsaw puzzles, the more pieces the better. She loved crosswords and word puzzles in Penny Press puzzle books, particularly “Escalators” and “Magic Square Anagram” puzzles. 

She was creative. Her passion and profession was decorating cakes and she truly loved the work. She worked at so many bakeries: Stumps, Cub Foods, the Rolling Pin, Cake Box, Ashley’s Pastry Shop, Kroger, and CJ Farms. She and her dear friend, Judy Smith, even ran their own cake decorating business for a period of time called “Classic Wedding Cakes.” I know she’s my mom, but really, her decorated cakes were among the best I’ve ever seen. She had a real talent for it. I remember taking her into a local bakery and she looked in the case at the cakes. When we left, I asked her what she thought. She just shook her head and said very simply, “Nothing special in there.” That was all she said. 

Her favorite kind of cake was white cake with buttercream icing. If you were going to buy her a donut, she’d ask for a cake donut. Most people knew her for her decorated sugar Christmas cookies, but if she wanted to bake cookies just for herself, she’d make peanut butter cookies. 

Although she was a fantastic baker, she was not known for her cooking. All five of us kids can remember the countless times that we would protest the “hot dish” that my mom had made for us, a concoction of elbow macaroni, ground beef, stewed tomatoes, onion, and sometimes celery? Actually, she put celery in a lot of things that shouldn’t have put celery. Like her chili. I remember my husband, Doug, taking a bite of her chili and a confused expression came over his face. He looked into his bowl and moved his spoon around. “Is there celery in this?” I said, “Yep.” “Who puts celery in chili?” I just shrugged. My mom leaned heavily on cream of mushroom soup and Lipton onion soup mix for seasoning a dish. One thing that it seemed that no one ever agreed with her on was her love of chicken hearts, livers, and gizzards. I remember a stuffing that my mom made. Holly took one bite of it and just said, “Mom… what did you put in this?” And she said, “You can tell?”

Beyond baking, my mom loved to do so many kinds of crafts. She sewed everything from matching Christmas and Easter dresses for her girls to curtains to handbags and even stuffed animals. There was a period in the 90s when she made–with Nate as her assistant–stuffed bunnies out of muslin cloth and dressed them up in little dresses. She quilted and made a lot of quilts for people, including me. She crocheted so many blankets, especially in her last years, when she volunteered to crochet blankets for people in hospice. In the 1980s, she went through a phase when she made barretts, all decked out in lace and beads. 

As a parent, my mom recognized and valued each of her children for their uniqueness. She saw potential in each one of us, even if we disappointed her. She gave second and third and fourth chances. There was no end to the chances she would give. She was proud of whatever we did, as long as we did it to the best of our ability. She was the Keeper of the Peace in our household, the one that kept the ship sailing, even if we didn’t know the direction that we were going as the Sea of Life tossed us this way and that. 

She was the owner of a perfect laugh and a Minnesota accent. And she always granted the most generous interpretation about others, even when she could have extended judgment.

My mom was an eternal optimist.

When I hugged my mom good-bye as I was leaving after my father’s funeral, I said, “I just want you to be happy for the rest of your days.” It was 2014 and the cancer was mostly asleep inside of her, but it was never too far from my mind.

She looked at me and said, “I will be.” So confidently and assuredly. And I knew she meant it. 

I just couldn’t understand how she could be so optimistic, but she absolutely was. She hadn’t met Warren yet. As far as she knew in that moment, she could have been facing a lonely, financially difficult widowhood. 

And yet she believed that the best was yet to come. 

And by God–she was right.

My father was my mother’s first love, the father of her children, and what I say next does not take away from that cherished truth. Warren was her soulmate. Both children of farmers, lovers of the quiet land. They spent 6 incredible years together. He held her hand as she passed and still looked at her with the same adoring eyes that he had for her throughout their marriage. His last words to her were, “You gotta go, Sweetie. I’ll see you there.”

Warren, what a gift you were to my mother. Thank you, from the bottom of our hearts for being in her life. You will be in our lives forever now. You can’t get rid of us! You are my children’s grandfather and we will visit and care for you just as we would my own mother.

On the night before my mother passed, I read a letter to her that intended to read at her funeral. But she deserved to hear it in this life. I’d like to read that letter now.

Mom,

We met on November 24, 1981 at 3:51 in the morning. It was a Tuesday, just two days before Thanksgiving. I don’t remember it, but now that I have two kids of my own, I know that it’s likely that you’ve never forgotten that morning. You told me after Felicity was born that I had been your hardest birth. That surprised me because I was your third child. You didn’t know why it had been that way. But it was. You and Dad had expected that I would be born before he had to leave for his early morning shift at the bakery. But no. At 1:00 a.m., Dad left for work.

And so, while the world slept and my father went to work, you labored alone in those final hours, which I know from experience are the loneliest, most painful, and most detached hours that you can experience in life. No matter how many people surround you, you are still alone in your pain. 

These are hours when you are certain there is no one in the world who is currently suffering as much as you are. They are hours when you bear the entire weight of humanity, pushing, pulling, and pressing you from all sides. There would be no human life if not for the ability for women to bear this pain. 

I repeat: Life depends on the strength and fortitude of women to bear this pain. 

You bore so much pain in your life. You bore it without most people even knowing, a true testament to your roots and upbringing in rural Iowa and Minnesota, where the simple economics of farm life governed. You cannot reap what you don’t sow. You cannot take if you don’t give.

And so when life gave you pregnancies, it also gave you severe hyperemesis gravidarum. When it gave Dad the opportunity to turn his job into a career, it also gave you an extra 800 miles between you and everyone you loved. When it gave you the stress of raising teenagers, it gave you the stress of raising more teenagers. Sorry about that. That was actually completely unfair. 

Mom, you were the oldest girl in a family of seven children. You talked about how difficult it had been to move from farm life to city life in high school. The teasing hurt you. So you turned to your faith. Your faith taught you that even if others didn’t accept you for who you were, you would always be accepted and loved by God. For you, being God’s child gave you the support and comfort that you needed as you grew up in a culture that you didn’t understand. 

Losing Dad was tough, but why does it feel like it hurts more to lose you?

Maybe it’s because it feels like a world without your mother is a world without the greatest compassion and the most acceptance and unconditional love that you have ever known.

For a long time, I didn’t want to be a mom. Moms were so uncool. So passé. So not who I wanted to become. I wanted to be accomplished and talented and maybe someday well-known. I was going to do much, much harder things than being a mom.

What a fool I was. Such foolish, foolish thoughts. So full of pride. How could I ever think that you weren’t exactly the person that I should aspire to become?

How could I ever think that being a good mom was easy?

Being a good mom has turned out to be literally the hardest thing that I will ever do. And I’m finding now, over and over again, the empathy and the perspective that I need to understand just how difficult it must have been for you to raise 5 of us. 

I’m so sorry, Mom.

Mom, it’s because of you that I’m able to keep the whole thing in perspective.

The world will always find another teacher or writer or employee. But your family will never find another you. 

I know that my heart will always call out for you when I’m hurt.

I know that I will always miss your presence, but I know that I’ll miss it the most at Christmastime. Every time I smell those fragrant pine cones, covered in cinnamon and clove, I can almost hear the scratch of the record player starting up Anne Murray’s Christmas Wishes, the notes of Winter Wonderland blending into Silver Bells.

As deep as my sadness is right now, sadness is not what I want this to be about. 

What I want to talk about is my gratitude—all the reasons that I’m thankful you are and will always be my mother. 

Thank you, from the bottom of my soul, for not just being our mother but living your life for us, as if we were your true calling. We never felt like you had something more important to do. 

Thank you for creating a home in which I always felt that there would always be enough—even when that wasn’t guaranteed.

Your optimism and positivity, which eclipsed all of Dad’s worrying.

All the times you were there when we needed you. In all the ways that we needed you. I don’t ever remember you telling us that you could not be there for us, no matter what the problem was.

For your lifelong examples of what it means to love God and live as a cherished creation of God. Through all of the financial and physical hardships, through Dad’s illness and death, you showed us how to feel grief even as you move forward.

Thank you for all the I Love You notes that you’d slip into my sandwiches and that I’d bite into while I was eating at school.

Thank you for the pair of shorts that you sewed for me late into the night when I told you I got laughed at for wearing the same pair of jeans two days in a row in fifth grade. 

Thank you for disregarding the doctors’ original prognosis in 1998 and going ahead and living your life anyway. You showed me why it was important to you to not allow people to only see CANCER when they see you. Even though cancer could consume your body, you would never give it the victory of consuming your spirit. You kept your identity and your wholeness until the end.

Thank you for teaching me that one of the very best things that you can do in this life is to be kind and generous to others—Because you never know when you will be the one that needs to feel that kindness, especially when you feel like you just cannot go on.

Thank you for filling my memory with positivity, laughter, imagination, and creativity. 

Thank you for my freedom, how you basically dropped me off at college and said, “Have fun!” You gave me the space to take ownership and responsibility for my life.  

Thank you for allowing me to feel a broken heart and giving me the space to learn how to keep on living after rejection and loss.

You were pretty amazing with space. Space to allow me to figure out marriage. Space to figure out how to be a mom. Space to feel my way through the pain of miscarriage. You were always there when I needed you, but you were always sensitive to how space could give me agency and ultimately, more resilience.

Life is funny and awful. Because now that I have all the space, what I wouldn’t give to give it all back just to have you back in my life until I’m much, much older. No matter how old you are, you’re never ready to lose your mother.

One of the first thoughts that I had when you told me in August 2019 that the cancer was back was… “Please don’t leave me alone in this world. I don’t know how to I can be okay in this world without knowing you are in it.”

But you have always been preparing me for this, haven’t you? For years, you have been giving me the space to steer my own life. You have been cheering me on from other states as you’ve gone on to live your life. You’ve encouraged me as I’ve developed my own social support network around me through friends and church. In my mind, I know that I will be okay. I know that I will wake up tomorrow, make the coffee, do all the things, and make it to the end of the day.

But my heart doesn’t know that. All my heart wants is to stop losing the people that I love.

When I first asked you why you gave me my name, you said I was named after Song of Solomon 2:1, I am the Rose of Sharon and the Lily of the Valley. This didn’t really mean much to me, especially since I was eight years old. 

But what you wrote in my baby book made more sense. 

You wrote “The Rose of Sharon, the beauty of a desert.”

You saw me as a flower in the desert.

I came into your life at a challenging time. You were a stay-at-home mom to two young boys, aged 4 ½ and 2 years. Dad worked early morning hours at the bakery, often six days a week. We know now that Dad struggled with bipolar depression for years, but at the time, you just thought that he was moody and needed help seeing the positive side of life. And that’s what you were there for—to be his partner. To provide balance. From week to week, money was perpetually tight. I don’t remember, but I’m pretty sure you didn’t complain about any of this, ever. That was your life. He was your husband and we were your children and God was God. And you rejoiced and were glad in it.

You saw me as a flower in the desert.

Desert flowers don’t have deep roots, but they do have extensive roots. They spread out far and wide to gather as much nourishment as possible, to prepare for the lack of rain. I really can’t think of a better metaphor for how I’ve lived most of my life. Drink up as much as you can now because the drought is coming. One way or another, it’s coming.

My roots have never been deep. We are the grandchildren and great-grandchildren of immigrants, uprooted from homes and cultures. Children of rural farmers, isolated for miles on every side. We moved away from all our extended family early in my life. For generations, this was how we lived: stretching out instead of digging down.

There were many seasons in life when you and Dad could not depend on your family because of how far away we lived. So we reached out to the church. And they were our support. They provided structure and guidance. Love and belonging. You showed me how to make a family with those around you. How to help others and how to have the humility to be helped when you needed it. And we often did. We often did.

Thank you for this, Mom. Because now that you and Dad are gone, this is how I will survive. This is how I will bloom and continue to grow in a life where my roots are almost gone. I will reach up and reach out. I will trust that someone will be there because I know the world is full of suffering—and because it is full of suffering, it is also full of empathy. My family that remains. Friends. Always friends. I will reach up and reach out because I need help to face this world without you. 

Dying

Friday, August 12th, 3:30 p.m.

“She’s out of isolation, so you don’t need to bother with a gown or gloves. Whatever it is, it’s not COVID,” the ICU nurse says. I glance at the whiteboard. Nurse: Megan.

Through the window, I see my mother reclined on the hospital bed, her eyes closed, her chest rapidly rising and falling. This labored breathing has been ongoing for days now, her heart rate increasing steadily over the days. 90. 100. 110. 125. 130.

It holds at 140 now.

140 is my heart rate when I’m jogging or doing kickboxing. And there, she lies, reclined on the hospital bed, her body racing as if accelerating toward some unknown destination in the distance. Does she know where she’s going? And when will she arrive?

What’s causing her high heart rate? I had asked the doctor.

It’s the body’s stress response.

To what?

We don’t know.

There would be nothing else to say until more tests were done. More and more tests.

I look at my mother through the door.

She is dying. Surely, they can see that.

Can’t they?

I slide the door of the ICU room open and step inside and rest my eyes on my mother. And the reality of the situation washes over me again, a horrible reminder. Oh, right. It really is as bad as the last time that I was here, just hours ago.

But then, I realize. No.

It’s not as bad as last time.

It’s actually worse.

I want to tell every nurse and doctor and hospital worker, This isn’t what she looks like. She’s really not like this.

In a week, she has transformed from a robust 68-year-old woman into a woman who looks to be in her 80s. Frail.

I place my cup of coffee on the floor beside the chair next to her bed and sit beside her. The welts that have emerged on her face and arms are starting to crust over. The doctors guess that it’s a reaction to antibiotics to treat a UTI, but it’s just a guess.

I slide my hand under hers. It’s not as hot as yesterday, when her fever was 102, but it’s still so warm. Her fingers are swollen. From what? I don’t know. Why is she breathing like this? There are new masses in her lungs, ones that have grown rapidly at some time in the last month, but is that what’s causing her body to run like its out of control?

Her spinal tap is clear. There’s no infection. Her brain is fine. Her heart is fine. Carcinoid cancer is strange. We don’t know everything about it.

“Hi, Mom,” I said, trying to keep my voice steady. “It’s Sharon.”

I open a document on my phone. It’s a letter that I’ve written to her. I was going to read it at her funeral, but she deserves to hear it while she’s alive. My eyes skate over the first line that I’ve written to steel myself to read it, but I can’t see through the blurry curtain of my tears. They drop freely onto my dress.

That looks so nice on you! she had said, not two months ago. Stitch Fix? I’ve never heard of it!

I look around the room for a box of tissues and see nothing. There are never enough tissues in these rooms. I wipe my face with the back of my free hand as I hold my mother’s hand. Then, I pull a used paper towel from the dispenser in her last hospital room and dab at my face again.

I close the app with the letter to my mother and navigate to a song. Something that has comforted me in the past.

See me someday sleeping softly
Flowers draped across my knees
Hear the cries of friends and family
Missing me
Press on

She’s not gone yet, but I miss her already.

I look down at my mother’s hand.

Just two weeks ago, she responded to my touch. One week ago, she could still acknowledge that I was in the room. Yesterday, with effort, she could say a few words–if they were important. I fed her a small piece of strawberry, and with great effort, she chewed it. Now, when she is aware, her communication has reduced to groans and a look from behind glassy eyes.

In this moment, her eyes are closed. I could almost convince myself that she was sleeping, if she weren’t breathing like she were running a race.

My head drops to her hand and I press it to my cheek, where my tears are now sliding over her knuckles and down her wrists. I turn my head and look up the side of her arm, upward at her as she is reclined in the bed and suddenly she seems as large as she was to me when I was a child. Authoritative. Grand. Only now, silent and suffering.

I want to wake her up, shake her out of this nightmare. I want to curl up in her arms. She was not a mother who would say something like, “Everything’s going to be okay, Sweetie.” Instead, she would say something simpler, like, “Hey, now. What’s wrong?”

Her hand is slick underneath my cheeks, my tears still spilling forth. There is Life there, inside of her, as strong as it has ever been. But not for long. Soon, her hand will turn cold and there will be no warming it up with peach tea or coffee with cream. I can still see the steam rising from her mug as she laughed about my ridiculous guesses for unscrambling words in a puzzle book.

The sadness settling over me is so heavy I cannot even hold myself up and soon, I’m collapsed over the rail of the hospital bed. I’m crawling up the side of the bed now, my face and neck pressed against her arm and hand, gazing up at her. I want her to snap out of this. For her breathing to slow. For her to look over at me and say, “I had the weirdest dream.”

But her face is so thin now. Her face has never been this pale, this thin, this drained of life.

I want to go back. To my beginning. When I was the Protected, and she, the Protector. When it was her tears of joy covering me at my birth, not my tears of sorrow covering her just before her death. How short the years were between those two turning points in our universe. I didn’t always take those years for granted. I cherished them more each time she told us the cancer was back. But how many years had the cancer slept–and I lost sight of my gratitude?

Moments with someone you love become so much more precious when you’re threatened with losing them forever. You find yourself making frequent trips to see them. Cherishing every word they say. Not throwing away their cards. Taking more pictures. More videos.

My mind drifts and I think of the woman who wept upon Jesus’s feet and then wiped away her tears with her hair, just before pouring expensive perfume over his feet.

Why was she crying? Jesus and his disciples believed that it was because she was “a sinful woman” and was plagued with regret.

But no one asked her. They just assumed that she was sad about her sinful life.”

But now I wonder if she knew, in the way that I know now, that Death is at the doorstep. I wonder if she felt the same tight tug at her heart when she looked at Jesus, the tightness that I’m feeling now as I gaze at my mother in these final hours, as if she is being pulled into a thick fog while I am anchored here. Unable to follow, even at a distance.

Even though there was a time when we were so connected that the echoes of our heartbeats rippled throughout the same body. My hiccups were her hiccups, and hers were mine.

Wasn’t there a verse in Isaiah (Was it Isaiah?) that said, Death where is thy sting?

I know where it is. It’s here, in this room. I feel it needling me every time a monitor beeps, announcing some new threshold that my mother has fallen too far below or risen too far above.

The nurse, Megan, quietly enters the room and I don’t even try to hide my tears. What’s the point?

“Here,” she says softly, handing me a hospital washcloth. “This is better.”

I nod, unable to even thank her properly. I push the stiff, paper towels into my purse.

She doesn’t say anything.

There is nothing to say.

Life is filled with bitter music
Breeze that whistles like a song
Death gets swept down like an eagle
Snatch us with our shoes still on

Press on

Behind me, I can hear the soft conversations of nurses in the hallway. I can’t hear the content, but the tone tells me that whatever they’re talking about weighs infinitely less than what is happening in this room.

Do they know? Can they tell what’s happening? Is it obvious to them too?

When do we start using that word, dying? Is it too soon? It doesn’t seem too soon.

Instead, it seems too late for someone to be notifying me. Instead, it seems that I was meant to figure this out on my own. It seems that we are in the wrong place here. ICUs are meant for people to get better. Why is she here anyway? Shouldn’t we be in hospice? Why are we pumping high-flow oxygen into her nostrils and administering potassium?

Why did we do a biopsy? Will the results read as clearly as a pregnancy test? Dying or Not Dying? When are the results supposed to come back? After she’s dead? Why are we still testing?

The sobs overwhelm me and I find myself praying not only to God, but also my father. My grandmother. Any ancestors who will hear me.

Please. She needs someone to guide her. She needs help to find her way forward. I cannot stand to watch her suffer like this another day.

I love her too much to allow this to go on.

There is a doctor’s knock at the door. They all knock the same–an interrupting, quick signal that you are next in line. But I cannot even lift myself to acknowledge the sound. If this doctor’s time is money, they’ll need to pay the price for now. And I will come away from this moment knowing that I owe them nothing. I will not shield them from my pain or my grief. They should know the weight of what is happening here, how the gravity of this moment warps time, slows it down, so that every moment is lived painfully and with the greatest effort imaginable.

They should feel it, if even to a small degree, in the way that I’m feeling it now.

My mother is dying.

Whoever is about to sit with me and talk with me already knows that, too.

***

He’s very kind, this doctor in his late 30s. He uses phrases like, “How are you feeling about her condition?” And “Yes, I agree that it’s time to modify her goals.”

When I ask if we can help her pass without suffering, he says, “We absolutely can.”

Then, a new flood of tears arrives as phrases that should be uttered twenty years from now are spoken today.

We can move her to a private, quiet room. Make her comfortable. Give her morphine for pain. Give her anti-anxiety medication.

How long will it take, we ask as a family.

Could be 30 minutes. A few hours. Or days.

More tears.

I’m hoping for a few hours. Time to say what we want to say to her. To pray. To read to her.

But the thought of wandering for days in this Space Between Worlds…

The thought is crushing.

But I know that I will bear it, no matter how long.

I will bear it for her.

***

The night nurse comes, Regina. I believe she is the Holy Spirit, the Great Comforter, incarnate. She can’t be older than 35, but she speaks as someone who has traveled this road of Death many times. She props her hands on her hips like she’s telling us the specials on tonight’s menu.

“I want to be clear about what we’re doing tonight. We’re going to do a terminal wean. We’ll do everything to make her comfortable and relieve her pain.”

It’s not insensitive the way that she says any of this. Instead, it instantly puts me at peace. What we are doing is not unusual or awful. We are only getting out of the way of Death. We are simply fulfilling my mother’s wishes, even though it means that she’s leaving us behind.

We read last minute messages from friends and family who want to say goodbye. We hold the phone up to her ear to allow family who can’t make it to talk to her. My mother says nothing. She cannot talk. All she can do now is groan, and only when absolutely necessary. She breathes heavily through her nose and mouth, which quickly dries out her lips. The tone in her jaw is gone. She cannot keep her mouth closed. Every time Warren carefully applies Chapstick to her lips, tears sting my eyes.

Can she still hear? I wonder. While half of me is glad that we are talking to my mother as if she can still hear us, the other half of me remains skeptical and wonders if this is all a show to make ourselves feel better.

Her brain is fine, the doctors had said.

As I sit on my mom’s left, my daughter, Felicity, walks in, tears slowly careening down her nine-year-old cheeks. She has been pinballing between entering the ICU room and remaining in the hallway.

Anything you want to do is fine, I assured her. Only do what you want to do.

She sits on my lap, facing away from me. She’s too tall for me to hold her like a baby anymore, so I do the next best thing and bear-hug her from behind.

Felicity gazes over at her grandmother and places her hand on top of hers.

My mother groans.

My chest tightens and I swallow.

“She can hear you, baby girl. She knows it’s you.”

Felicity leaves her hand there as her little body shakes in my lap. I know in this moment, my mother hates that she’s making Felicity sad. She hates that she can no longer mask the fact that she’s dying. She wouldn’t want to scare Felicity. She would despise the fact that the only sound she could make to comfort Felicity was a monotone groan. She would encourage Felicity to not let her condition make her sad. She might even tell Felicity what she had said so many times before, “I’m getting better and better every day, Felicity. Don’t worry about me.”

Without warning, Felicity jumps to her feet and moves to the other side of the bed.

“Can I hug her?” she asks.

“Yes. As tightly as you want.”

She leans across the bed and rests upon my mother and pushes out her shaky words.

“I love you, Grandma.”

Warren helps Regina remove my mother’s neck brace, which had been supporting her nearly healed neck after her most recent fall.

They remove the arm brace, which had been keeping her broken right arm in place.

Regina pulls away the tubing that forces high-flow oxygen from my mother’s nostrils.

A lump rises in my throat as a thought occurs to me.

We are removing all her armor now, letting it fall away, leaving her vulnerable. We all understand that she can’t be any more broken than she is now. Nor, are we are protecting her anymore. We’ve wandered off the road to recovery long ago. Now, we’re on a different path, each of us recognizing it at different times, as if we are each acquiring a new language at different speeds. I’ve been able to read the signposts for weeks, but I know that others have only been able to read them for days.

We are handing Mom over to a Thing that we have all feared, no matter what our faith teaches us. No matter how many cheery faces have told us confidently that there’s Heaven waiting for us on the other side, none of us have seen this destination, nor have we traveled there. Perhaps someday I will find comfort in the thought of Heaven. But not today. Because my mother’s path to get there is covered in thorns, ripping at her mercilessly even as she barrels blindly forward.

She will travel this last path alone, exhausting every weapon and tool that she used in this life. She will do this alone, just as she did when she gave birth four times. Just as she did when she fought through unbearable pain when she broke her back in 2007–and all the years of pain that followed. Just as she has fought this cancer for 24 years.

Like every other time before, she would do this last battle all by herself.

No man has ever come close to demonstrating the strength that my mother has.

Not even close.

She is the only person I’ve known who has chosen over and over again to walk into the shadows of Pain and Loss.

And still found the Light inside of it.

And then held that Light up for all to see.

Warrior isn’t the title that she has earned.

She is the Hero.

Maybe that’s why her body is still wielding its sword, slashing at shadows.

We can’t tell her to stop fighting.

But at least we can take away her pain while she fights.

What labor and death have in common

I had been told that labor was painful. That it could last for days. That drugs help.

But I never expected that experiencing labor would mimic the process of dying.

I first realized this when I wrote a poem about giving birth. As I reread a certain group of lines, I saw the connection. Here, I describe what it was like when I fought against the pain of the transition stage of labor.

I clutched. I gripped. I clawed. I seized.

I groaned. I moaned. I moaned. I groaned.

I reasoned. I pleaded. I begged. I shrieked.

 I cursed. I cried. I cursed. I hated.

I doubted. I despaired. I questioned. I bargained.

 Until I surrendered.

 And then I believed.

The turn in this poem (highlighted in bold) shows me giving in to birth and allowing myself to feel the pain. And this helps me re-imagine labor—as a form of dying. It’s right there in the lines of the poem—You go through all the same stages of grief. Reasoning, pleading, begging, cursing, hating, doubting, despairing, questioning, bargaining

And finally surrendering.

Unbearable, incessant, rhythmic pain will do that to you. It will grind you down into the salt that you really are.

Some who read this may think, Oh God, that sounds awful! I would do anything to avoid all of that. No one should have to suffer.

Part of me agrees with you.

And part of me now acknowledges that suffering can also open your eyes to greater truth—realizations that you cannot grasp until all of the anchors have been ripped free and you find yourself floating away on powerful currents. But there is beauty in surrender, in reaching the edge of your abilities and reason, and acknowledging that you are not so important that you can’t be completely humbled. That you are not so special that you just get to say “pass” on this one.

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And that is what labor and dying do–they reduce you. They re-orient your compass to true north. You are not the center of the universe. You are a small part of something much greater and much more powerful than you will ever be. We call it “God,” but that word is not enough. No word will ever be enough.

So stop fighting.

Stop grand-standing.

Stop asserting your own will and power.

Just stop. And feel.

Perhaps it is a combination of belief in our self-importance and our own powerlessness to protect that self-importance that drives us to try to control birth and death. Perhaps this partially accounts for our eagerness to hook ourselves up to machines which we believe to be more powerful than our own bodies. Or even to distrust our own bodies’ signals in favor of data pouring out of those machines.

Certainly, there is a time for using medical technology to mask or relieve our pain. When our bodies run amok with cancer and chronic, degenerative diseases—conditions when nature goes haywire—I am grateful to live in a time and place where I have options for healing or palliative care. But there is also a time to acknowledge what birth and death really are—natural processes. Stages of life. And denying or being afraid of them only intensifies the pain.

In my own experience, I know now that the urge to fight childbirth and escape the pain originated from outside of me.

It crept in when the doctor told me that I wasn’t progressing quickly enough,

or when the lines on the EFM monitor pronounced double-peaked contractions,

or when the doctor suggested that I could make all the pain go away if I just got the epidural.

After each of these in moments, I doubted the power of my body to get through the experience.

They knew what was going on with my body more than I did. That was how I felt.

But then I regained my focus. And I was able to take myself into a space where it was just me, the pain, and the moments between the pain.

With each contraction, my pain threshold rose and rose. I savored those moments between the pain, rather than focusing on the moments with the pain. When I was left alone, the messages from my birth attendants—my husband, my doula, and my nurse—were that what I was experiencing was normal. None of them acted like there was a reason to freak the hell out. I was not like other hospital patients, sick or diseased with a body gone haywire. What I was going through had a beginning, a middle, and an end. And what I needed was assurance that we were getting there.

It took some effort and planning to create this “birth as a process” environment in the hospital, where the assumption is typically “birth as a potential problem” in need of regulation and control.

But at least it’s not taboo to talk about birth like this.

Death, on the other hand, is far more likely to be seen as a problem, rather than a process. It’s the worst possible outcome. It’s failure. It cannot possibly be what we want.

***

My father died one year ago. Bipolar depression robbed him of his spark. Parkinson’s disease stole his smile and his gestures. Then, it ultimately caused him to lose his footing, fall, and break his neck. Gone was his ability to walk, and temporarily, his ability to independently breathe. He lay in the hospital for a month, unable to move and barely able to talk. When he recovered enough ability to lift his arms and breathe on his own, doctors started making plans for him.

Plans? Really? Plans for what?

My father was depressed. Unable to walk. Constipated and unable to relieve himself independently. His ongoing insomnia was exacerbated by the challenge of sleeping in a neck brace. It was a C2 vertebrae injury, so there was little hope of restoring many typical bodily functions—all of those small movements that we take for granted, but make us feel human. Feeding ourselves. Putting a shirt or shoes on. Picking up a pencil for a crossword.

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December 2008

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July 2012

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August 2013

So I wondered what these plans for the future were. Returning home? That seemed unlikely since he required someone to lift him and my mother certainly couldn’t do that. Going to a nursing home? Separated from his wife of 38 years. Confused by the constant shifts in caretakers, as nurses clock in and clock out. These were the plans? Were these the plans that the doctors would have wanted for themselves?

After my father fell, I admit that my prayers were not for him to heal. At best, they were vague prayers asking for God’s mercy or asking for God to ease his pain. At worst, they were prayers that his life would end soon. That he wouldn’t suffer in such conditions for weeks and months and years, according to the doctors’ plans. That his last moments of life wouldn’t be confusing or difficult. That he could understand what was happening to him so he could accept it instead of fighting it.

But then again…

Would I?

Would I be able to accept the end when I know it’s near?

These are questions without answers. Thoughts for the thinking, not for the deciding. At the end of life, it’s hard to know what we’ll want. Just as it is when we are in the hardest hours of labor. Our birth plans may be clearly and precisely articulated, but when the shit hits the fan, it’s hard to anticipate where everything will land.

But what I am sure of is that the experience of labor has prepared me for that winnowing down of self, that preparation to join a grand Divine, beyond human comprehension.

I think about what the end of life is like for women who have gone through labor. As they are dying, do they remember labor? Do they remember the way that it reduced their existence into a singular point? Are they better able to accept what is happening to them?

Is labor a special glimpse into the spiritual world that only women are fortunate enough to be able to access?

Because something happens once you become a link in that chain of life, a witness to life’s awesome resilience and power of renewal.

When you give life, life gives you something back—wonder.

The kind of wonder that results from the utter destruction of all your previous understandings and assumptions. The kind that forces you to re-examine all the surviving shards to see which ones deserve to go on and to acknowledge which ones have become dust, lost to the wind.

Wonder.

Over so many things.

How could my body do that?

How could this baby already be breathing on his own?

What will I do if this child dies? How could I go on?

Do all mothers feel this way?

What did I do to deserve any of this?

And Why?

Why Life?

Why Death?

Thoughts for the thinking, not for the deciding.

Like this post? Pre-order a copy of “Becoming Mother: A Journey of Identity” or Check out previous posts here.

Or watch this short related clip of me reading my favorite passage, in which I describe an unexpected spiritual moment.

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